National Provider Identifier Database

KENNEDYS ASSISTIVE LIVING EDUCATIONAL FACILITY
Day Training, Developmentally Disabled Services

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.


Contact Information

KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY
3031 SCOTSMAN RD STE 13
COLUMBIA, SC29223-1812
Phone: 803-736-5872
Fax: 803-736-5872
Website:
Specialty Taxonomy Code
* Day Training, Developmentally Disabled Services 251C00000X
Customized Equipment 332BC3200X
Durable Medical Equipment & Medical Supplies 332B00000X
Nursing Facility Supplies 332BN1400X

* Indicates primary specialty

NPI Profile & details for KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY

NPI Number 1447482609
Legal business name
LBN
KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY
Authorized official CAROLYN KENNEDY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/20/2009
Last updated 02/26/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 2009-38336-37480
  • SC Medicaid: 163W00000X
  • SC Medicaid: 164W00000X
  • SC Medicaid: 172V00000X
  • SC Medicaid: 174H00000X
  • SC Medicaid: 193200000X
  • SC Medicaid: 343900000X
  • SC Medicaid: 347C00000X
  • SC Medicaid: 372500000X
  • SC Medicaid: 372600000X
  • SC Medicaid: 373H00000X
  • SC Medicaid: 374K00000X
  • SC Medicaid: 374U00000X
  • SC Medicaid: 376J00000X
  • SC Medicaid: 385H00000X
  • SC Medicaid: 390200000X

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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